Individual
AYLA TEDESCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 S LAKE ERIE DR, WEST VALLEY CITY, UT 84120-7350
(385) 441-4900
Mailing address
5532 W BURNTSIDE AVE, SOUTH JORDAN, UT 84009-6245
(978) 790-0294
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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